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Tobacco Prevention and Control:
Florida’s Comprehensive Plan for Action 2000-2001
Prepared by the Florida Leadership Council for Tobacco Control for the Florida Department of Health
March 2000
Introduction
One reason that Florida has become a national leader in tobacco prevention and control is the involvement of many partners. The participation of these diverse partners – community-based organizations; local and statewide government agencies; statewide, regional, and national health promotion agencies; tobacco users and non-tobacco users; youth and adults – has brought comprehensiveness and achievability to this annual action plan and its sister document, the five-year strategic plan. The Florida Leadership Council for Tobacco Control spearheaded the development of these plans and presented them as a recommendation to the Florida Department of Health.
The Leadership Council was formed in 1998 as a result of restructuring of the six-year-old Tobacco-Free Florida Coalition. In its first six months of operation, the Leadership Council began to update the Tobacco-Free Florida Plan, which was last published in 1995. The Leadership Council worked with the Florida university system to develop a resource document summarizing tobacco use, impact statistics, and information about tobacco economics, policy, and prevention and control programs in Florida. This document is available on the internet at www.doh.state.fl.us (subject: Tobacco Prevention and Control).
In addition, the Leadership Council developed a vision statement, mission statement and set of six goals to form the foundation of a comprehensive statewide tobacco prevention and control strategic plan. More than 250 stakeholders throughout Florida were invited to provide written input into the process and to participate in two strategic planning retreats conducted in Tallahassee on March 19, 1999 and in Orlando on May 10, 1999. Participants in those retreats are listed in the five-year strategic plan.
During the first retreat, participants developed strategies for each of the goals, working with technical experts in small groups. During the second retreat, participants proposed an annual action plan for Fiscal Year 2000-2001.
The strategic plan includes the vision statement, mission statement, six goals, and a set of strategies for each goal. The Comprehensive Plan for Action lists actions to be taken between July of 2000 and June of 2001 to accomplish the stated strategies. The role of the lead organization for each activity is to assure that the activity is funded, planned, implemented and evaluated in collaboration with proposed partners. Measures of success for evaluation purposes are also provided for each goal.
Both the five-year strategic plan and the annual implementation plan are designed to be evidence-based, feasible, flexible, appropriate to and adaptable by Florida’s diverse population and communities, broadly participatory, inclusive of non-traditional tobacco prevention and control partners, and measurable for purposes of evaluation. These plans are intended not to supplant the many outstanding statewide and community-based tobacco prevention and control efforts currently underway, but rather to complement, enhance, strengthen and fill gaps in those initiatives. On an annual basis, the strategic plan will be reviewed and revised as needed, and an action plan for the next fiscal year will be developed.
Although the goals in the action plan and strategic plan are comprehensive, the activities in the action plan by no means reflect all the tobacco prevention and control initiatives in the state. Instead, the Leadership Council intends these action steps to be a foundation for partners and potential partners who are looking for their niche in tobacco prevention and control.
The Leadership Council strongly believes that a comprehensive, coordinated, adequately-funded tobacco prevention and control program within the Florida Department of Health, in partnership with the Department of Business and Professional Regulation, is essential to the success of this statewide collaborative initiative. While the participation of private organizations is voluntary, the Leadership Council hopes that every individual, group and agency in Florida that is concerned about the adverse impact of tobacco will join the Tobacco-Free Florida Partners Network and will be proactively involved in the implementation of this plan for action. The Leadership Council is confident that if those who share its vision cooperate, collaborate, catalyze and coordinate activities statewide, Florida’s war on tobacco can be won.
Any organization which sees for itself a role in achieving one or more of the goals set forth in this plan is eligible for membership on the Tobacco-Free Florida Partners Network. Membership is free, and members are notified of funding, educational, and networking opportunities via mail and e-mail. To become a member, contact the Bureau of Chronic Disease Prevention, 4052 Bald Cypress Way, Bin A-18 (HSFCD), Tallahassee, FL 32399-1744; or telephone 850.245.4330; or e-mail Adele_Porta@doh.state.fl.us.
Acknowledgements
All the agencies identified as lead or partner organizations have agreed to their roles. The Leadership Council would like to thank these participants and the following organizations for expressing their support for these planning documents:
Donna Arnold, Florida Clean Indoor Air Act Office, Department of Health, Tallahassee
Arthur Cooper, Administrator, Leon County Health Department, Tallahassee
Barbara Gorlick, Community Health Educator, H. Lee Moffitt Cancer Center & Research Institute,
Tampa
Dr. Nathan Grossman, M.D., Director, Marion County Health Department, Ocala
George L. Hinchchliffe, Assistant Secretary, Department of Juvenile Justice, Tallahassee
Frank Mattera, Tobacco Prevention Coordinator, Collier County Public Health Department,
Naples
Ken McCall, Administrator, Bradford and Union County Health Departments, Starke
Patrick Nothnagle, US Environmental Protection Agency, Indoor Environments Division,
Washington, DC
James A. Peters, Assistant Attorney General of Florida, Tallahassee
Charles F. Pierce, Jr., President, Florida Hospital Association, Association of Hospitals and Health Systems,
Orlando
Rhonda K. Potts, Manager, Community Health Education, H. Lee Moffitt Cancer Center & Research Institute,
Tampa
Donald W. Toews, Administrator, DeSoto County Health Department, Arcadia
Paul Turner, Director of Coalition Development, Oral Health America, Cumming, GA
Chudley E. Werch, Research Professor and Director, University of North Florida,
College of Health, Jacksonville
Dr. Marc J. Yacht, Director, Pasco County Health Department, New Port Richey
Vision
A Tobacco-Free Florida
Mission
The mission of the Florida Leadership Council for Tobacco Control is to promote community and individual responsibility to prevent tobacco use by encouraging agencies, organizations and individuals to work together toward a common vision of a tobacco-free Florida.
Goals
- Prevent youth tobacco initiation.
- Reduce youth tobacco use.
- Reduce adult tobacco use.
- Reduce exposure to environmental ("secondhand") tobacco smoke.
- Empower groups that experience the greatest adverse impact of tobacco, or those in which the impact is increasing.
- Sustain a coordinated, comprehensive statewide tobacco control initiative.
Characteristics of a Tobacco-Free Florida
Fewer children will experience asthma, ear infections, and Sudden Infant Death Syndrome (problems which are caused or exacerbated by environmental tobacco smoke).
Employees will be healthier and will spend fewer sick days, resulting in increased profits to businesses.
Families will enjoy the benefits of knowing and being around older relatives who live longer, healthier lives because they don’t have emphysema or lung cancer, tobacco-related diseases.
Children will not be bombarded with slick point-of-purchase advertising for tobacco products at their eye level, or be tempted by tobacco displays strategically placed near store exits to make shoplifting convenient.
Children will not be penalized with detention, community service, or losing their drivers licenses for succumbing to the powerful influences of the tobacco industry.
People will eat in restaurants where the air is free of carcinogens and other poisons found in environmental tobacco smoke.
Beaches, parks, streets and sidewalks will be free of cigarette butts and spit tobacco residue.
Youth athletics will be arenas of positive role modeling instead of breeding grounds for mixed messages about tobacco use.
Advertising and event sponsorship in diverse communities will be healthful and show cultural sensitivity.
Five-year Strategies and Current (2000-2001) Activities
Goal 1: Prevent youth tobacco use.
Measures of success:
By 2005, the percentage of middle school students who report smoking a cigarette on at least one day in the past 30 days will decline from 15.0% in 1999 to 10%.
By 2005, the percentage of high school students who report smoking a cigarette on at least one day in the past 30 days will decline from 25.2% in 1999 to 15%.
Strategy 1.1: Assess county-specific youth tobacco use prevention needs for planning and evaluation purposes with a core standardized data collection tool.
Activity 1.1.1: Continue the Florida Youth Tobacco Survey and expand it to the county level.
Lead organization: Office of Tobacco Control (Evaluation component)
Partners: Department of Education, Department of Children and Families
Strategy 1.2: Educate parents on how to reach their children with tobacco use prevention messages.
Activity 1.2.1: Identify existing parent education initiatives.
Lead organization: Office of Tobacco Control (Media component)
Activity 1.2.2: Plan and implement a media campaign soliciting parental involvement in youth tobacco prevention education.
Lead organization: Office of Tobacco Control (Media component)
Partners: Local health departments, community partnerships, Florida Triagency Coalition on Smoking or Health, Parent-Teacher Associations/ Organizations, Department of Children and Families, Department of Labor, media, civic groups, faith communities
Strategy 1.3: Facilitate the provision of school-based kindergarten through grade 12 tobacco use prevention education correlated with Florida’s Sunshine Standards and the Florida Competency Assessment Tool
(FCAT).
Activity 1.3.1: Continue the development of multidisciplinary curricula for tobacco prevention.
Lead organization: Office of Tobacco Control
Partners: Department of Education, Moffitt Cancer Center
Activity 1.3.2: Facilitate the Coordinated School Health Program Tobacco Prevention and Intervention Teacher Training Project used for teacher training, research and evaluation.
Lead organization: Department of Education
Partners: Office of Tobacco Control, Moffitt Cancer Center
Strategy 1.4: Partner with Florida’s colleges and universities to develop youth tobacco use prevention and cessation core competencies for teachers through teacher training curricula.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 1.5: Increase empowerment for and youth involvement in tobacco prevention activities.
Activity 1.5.1: Expand Students Working Against Tobacco (SWAT) to all middle schools, high schools, and alternative education sites.
Lead organization: Office of Tobacco Control
Partners: Department of Education, community partnerships
Activity 1.5.2: Continue to educate SWAT members and other youth regarding best practices in tobacco-related advocacy, empowerment and media literacy.
Lead organization: Office of Tobacco Control
Partners: Department of Education, Florida Triagency Coalition on Smoking or Health, CDC
Activity 1.5.3: Plan and implement a school- and community-based media campaign to encourage youth to become involved in SWAT and other advocacy efforts.
Lead organization: Office of Tobacco Control (Media component)
Partners: CDC, Boys and Girls Clubs, Boy Scouts, Girl Scouts, Cub Scouts
Activity 1.5.4: Continue and expand the College Advocacy Initiative.
Lead organization: Office of Tobacco Control
Partners: Department of Education, community partnerships
Activity 1.5.5: Ensure that SWAT members mentor and link with elementary schools.
Lead organization: Office of Tobacco Control
Partners: Department of Education, community partnerships
Strategy 1.6: Reach and educate youth in community settings in partnership with youth-focused civic organizations.
Activity 1.6.1: Facilitate implementation of peer tobacco education programs in youth organizations.
Lead organization: Office of Tobacco Control
Partner: Community partnerships, American Lung Association
Activity 1.6.2: Conduct joint trainings to enable law enforcement personnel of the Department of Business and Professional Regulation to integrate enforcement education with health education.
Lead organization: Office of Tobacco Control (Enforcement Component--Department of Business and Professional Regulation)
Partners: Department of Education, Department of Parks and Recreation, youth organizations, faith communities
Strategy 1.7: Develop and disseminate youth-oriented, culturally-sensitive tobacco use prevention media messages that target specific high-risk groups and address cigarettes, cigars and smokeless tobacco.
Activity 1.7.1: Continue to build on early counter-marketing successes including but not limited to the aggressive, hard-hitting Truth campaign.
Lead organization: Office of Tobacco Control
Partners: Florida Triagency Coalition on Smoking or Health, CDC, Community Partnerships
Activity 1.7.2: Liaison with Oral Health America regarding the National Spit Tobacco Education Program (NSTEP) in order to provide a communication link and facilitate access to information.
Lead organization: Dept. of Health, Public Health Dental Program
Partners: Dept. of Health, Bureau of Chronic Disease Prevention; Department of Education
Strategy 1.8: Identify and involve youth role models in tobacco use prevention activities.
Activity 1.8.1: Determine whether the best role models for tobacco prevention for Florida youth have already been identified through research related to the current counter-marketing campaign.
Lead organization: Dept. of Health (Office of Tobacco Control; Bureau of Epidemiology)
Partner: University of Miami
Activity 1.8.2: Conduct focus groups with youth to determine the best role models for tobacco prevention (if information is not available per 1.8.1 or is outdated).
Lead organization: Dept. of Health (Office of Tobacco Control; Bureau of Epidemiology)
Partners: Community partnerships, youth organizations
Activity 1.8.3: Assist community partnerships in developing platforms where role models can participate and present a tobacco prevention message.
Lead organization: Office of Tobacco Control
Partners: Community partnerships, parents
Activity 1.8.4: Identify and collaborate with existing programs that place college athletes and other college students (e.g., student leaders in arts and sciences) in community-based youth organizations.
Lead organization: Office of Tobacco Control
Partners: Colleges and universities and organizations such as the All-America Foundation and the Fellowship of Christian Athletes
Strategy 1.9: Strengthen enforcement of youth tobacco sales, product placement and possession laws.
Activity 1.9.1: Provide education for youth, law enforcement, retailers and the general public regarding tobacco laws.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners and retailers
Activity 1.9.2: Secure and provide funding for local law enforcement agencies to enforce youth tobacco laws.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners, parents, and retailers
Activity 1.9.3: Distribute age-appropriate educational programs to Division of Alcoholic Beverages and Tobacco district offices for presentations to local elementary and middle schools and youth groups.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners, parents, and retailers
Activity 1.9.4: Distribute new retailer training kits and provide educational support to retailers.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners, parents, and retailers
Activity 1.9.5: Identify "best practices" of county courts that successfully process tobacco citations and assist other counties with putting an effective, efficient process in place.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners and retailers
Activity 1.9.6: Make tobacco contract funds for local law enforcement agencies contingent on effective, efficient processing of tobacco citations.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners and retailers
Activity 1.9.7: Work with community partnerships and SWAT in their local enforcement initiatives.
Lead organization: Office of Tobacco Control (Enforcement component - Department of Business and Professional Regulation)
Partners: Local law enforcement agencies, county clerks of the court, Department of Highway Safety and Motor Vehicles, city and county commissioners, parents and retailers
Strategy 1.10: Evaluate strategy effectiveness and progress toward goals and make revisions as necessary.
Activity 1.10.1: Conduct population-based surveys that contain questions about tobacco use and/or exposure.
Lead organization: Office of Tobacco Control (Evaluation component)
Partner: University of Miami Evaluation Center
Activity 1.10.2: Conduct external evaluation through contracts.
Lead organization: Office of Tobacco Control (Evaluation component)
Partner: University of Miami Evaluation Center
Activity 1.10.3: Disseminate evaluation results to policy-makers and the general public in reader-friendly formats.
Lead organization: Office of Tobacco Control (Evaluation component)
Partner: University of Miami Evaluation Center
Activity 1.10.4: Develop a uniform reporting/monitoring system for local tobacco prevention activities, including teacher trainings and implementation of CDC-approved curricula.
Lead organizations: Office of Tobacco Control (Evaluation component); University of Miami Evaluation Center
Partners: Department of Children and Families, Department of Education
Goal 2: Reduce youth tobacco use.
Measures of success:
By 2003, at least one proven effective, gender-sensitive youth tobacco cessation program will be available in 50% of Florida’s middle schools and high schools.
By 2005, there will be at least one gender-sensitive, effective youth tobacco cessation program available in every county.
By 2005, the percentage of middle school students who report smoking cigarettes on at least one day in the past 30 days will decline from 15.0% in 1999 to 10%.
By 2005, the percentage of high school students who report smoking cigarettes on at least one day in the past 30 days will decline from 25.2% in 1999 to 15%.
By 2005, 100% of youth tobacco cessation programs will have an evaluation component.
Strategy 2.1: Facilitate the availability of age-appropriate, gender-sensitive, proven effective youth cessation programs addressing all types of tobacco use in elementary schools, middle schools, high schools and youth-focused community settings using a variety of cessation methods (e.g., individual, group, self-help).
Activity 2.1.1: Convene a working group to determine the accessibility of youth cessation programs in Florida.
Lead organization: Office of Tobacco Control
Partners: American Lung Association, Leadership Council, community partnerships
Activity 2.1.2: Provide funding for selected youth cessation programs, including evaluation.
Lead organization: Office of Tobacco Control
Partners: Leadership Council, American Lung Association, community partnerships, University of Miami Evaluation Center
Activity 2.1.3: Plan and provide train-the-trainer workshops on effective youth cessation programs.
Lead organization: Office of Tobacco Control
Partners: Department of Health, Department of Education, Safe and Drug-Free School coordinators, community partnership coordinators, for-profit hospitals, American Lung Association, Area Health Education Centers (AHECs), American College Health Association, American Hospital Association, state university system, Department of Juvenile Justice
Strategy 2.2: Encourage the use of effective youth tobacco cessation programs.
Activity 2.2.1: Implement a requirement for all state-funded youth cessation programs to have an evaluation component.
Lead organization: Office of Tobacco Control
Partners: Department of Education, American Lung Association
Activity 2.2.2: Coordinate with the CDC initiative to evaluate youth cessation programs.
Lead organization: Office of Tobacco Control (Evaluation component)
Partners: University of Miami, American Lung Association
Activity 2.2.3: Disseminate information about effective youth cessation programs to school districts, county health departments and other appropriate organizations.
Lead organization: Office of Tobacco Control
Partners: American Lung Association
Activity 2.2.4: Disseminate information that addresses relapse and effective methods to begin the cessation process again to school districts, county health departments and other appropriate organizations.
Lead organization: Department of Health (Office of Tobacco Control; Bureau of Family and Community Health)
Partners: American Lung Association
Strategy 2.3: Market cessation to youth tobacco users, their peers, parents and adults who work with youth.
Activity 2.3.1: Develop a statewide, multimedia counter-marketing component that addresses youth cessation.
Lead organization: Office of Tobacco Control
Partners: Leadership Council, community partnerships, American Lung Association
Strategy 2.4: Involve families and communities in youth tobacco use cessation.
Activity 2.4.1: Promote youth cessation at civic and business association meetings.
Lead organization: American Lung Association
Partner: Community partnerships
Activity 2.4.2: Educate county health department staff to assist youth who participate in cessation programs.
Lead organization: Bureau of Chronic Disease Prevention.
Activity 2.4.3: Invite motivational guest speakers to youth cessation programs.
Lead organization: American Lung Association
Activity 2.4.4: Develop an incentive plan to promote youth participation in cessation programs.
Lead organization: American Lung Association
Partner: Community partnerships
Activity 2.4.5: Develop a design and implementation plan for after-school, peer-to-peer support groups for youth who are trying to stop using tobacco and to prevent relapse.
Lead organization: American Lung Association
Partner: Office of Tobacco Control
Strategy 2.5: Encourage and monitor research on youth nicotine replacement therapy (NRT) and other pharmacological support products.
Activity 2.5.1: Monitor research on youth nicotine replacement therapy and disseminate information statewide regarding research and results.
Lead organization: Leadership Council
Partner: American Lung Association
Strategy 2.6: Promote the use of incentives to reinforce positive tobacco-related behavior.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 2.7: Evaluate strategy effectiveness and progress toward goals and make revisions as necessary.
Activity 2.7.1: Fund a contract for a statewide evaluation component.
Lead organization: Office of Tobacco Control
Partners: University of Miami Evaluation Center, Department of Education, Leadership Council, community partnerships, University of North Florida (Center for Drug Prevention and Health Promotion)
Goal 3: Reduce adult tobacco use.
Measure of success:
By 2005, the percentage of adults in Florida who report smoking cigarettes will decline from 23.6% to 20%.
Strategy 3.1: Facilitate the availability of proven effective adult cessation programs addressing all types of tobacco use in colleges and universities, workplaces, medical care and community settings using a variety of cessation methods (e.g., individual, group, self-help).
No activities are scheduled for this strategy in the current fiscal year.
Strategy 3.2: Develop and implement effective strategies to help pregnant smokers quit and to maintain postpartum cessation.
Activity 3.2.1: Train health care providers who work with pregnant and post partum women in consistent, effective brief cessation counseling using "Make Yours a Fresh Start Family" (MYFSF), an American Cancer Society program.
Lead organization: Division of Family and Community Health
Proposed Partners: American Cancer Society, Association of Healthy Start Coalitions, individual Healthy Start coalitions and their partners, public libraries
Activity 3.2.2: Evaluate "Make Yours a Fresh Start Family" including biochemical verification, which is taking place in northeast Florida with pilot health care programs.
Lead organization: Division of Family and Community Health
Partners: Healthy Start Coalition of Northeast Florida, Clay County Health Department, Duval County Health Department, Baker County Health Department, and JAX Navy Base.
Strategy 3.3: Increase access to adult cessation information and community treatment options.
Activity 3.3.1: Promote existing resources for adult cessation.
Lead organization: American Lung Association of Florida
Partners: Leadership Council, Bureau of Chronic Disease Prevention, Office of Tobacco Control
Strategy 3.4: Encourage and enable medical care and oral health professionals to identify tobacco users and to advise and help them to quit.
Activity 3.4.1: Gather baseline data about the percentage of primary health care and oral health care professionals who routinely encourage, advise and help clients achieve tobacco use cessation.
Lead organizations: Florida Medical Association, Florida Dental Association
Partners: Moffitt Cancer Center, Bureau of Chronic Disease Prevention
Strategy 3.5: Support research into evidence-based prevention and intervention.
Activity 3.4.1: Encourage research institutions to seek out funding for research into reasons for tobacco use.
Lead organization: Leadership Council
Partners: Office of Tobacco Control, University of North Florida (Center for Drug Prevention and Health Promotion)
Strategy 3.6: Evaluate strategy effectiveness and progress toward goals and make revisions as necessary.
Activity 3.6.1: Develop and implement an evaluation for this strategy.
Lead organization: Office of Tobacco Control (Evaluation component)
Partner: University of Miami
Goal 4: Reduce exposure to environmental ("second-hand") tobacco smoke (ETS).
Measures of success:
By 2003, stronger provisions will be incorporated into the Florida Clean Indoor Air Act (FCIAA).
By 2004, the preemption clause will be removed from the FCIAA.
By 2005, at least 17 of Florida’s 67 counties will enact local legislation more stringent than the
FCIAA.
Strategy 4.1: Educate legislators, parents, civic groups, restaurant owners and health inspectors about the harmful effects of environmental tobacco smoke and provisions of the FCIAA.
Activity 4.1.1: Advocate for restaurants to voluntarily go smoke free.
Lead organization: Office of Tobacco Control
Partners: American Cancer Society ("It’s Our O2" program), SWAT, community partnerships, Department of Business and Professional Regulation, Florida Medical Association, Leadership Council, FCIAA Program
Activity 4.1.2: Promote the development and distribution of current local smoke-free restaurant guides.
Lead organization: Office of Tobacco Control
Partners: American Cancer Society ("It’s Our O2" program), SWAT, community partnerships, Department of Business and Professional Regulation, Florida Medical Association, Leadership Council, FCIAA Program
Activity 4.1.3: Publicize smoke-free restaurants, including posting smoke-free restaurant guides on the Internet.
Lead organization: Dept. of Health (Office of Tobacco Control; FCIAA Program)
Partners: Community partnerships, SWAT, Florida Triagency Coalition on Smoking or Health, Suncoast Health Council
Activity 4.1.4: Encourage schools to adopt a no-smoking policy for all school functions.
Lead organization: Office of Tobacco Control
Partners: Community partnerships, SWAT, Florida School Board Association and school boards, FCIAA Program
Activity 4.1.5: Sponsor a training workshop for community partnerships on the enforcement of Florida’s tobacco-free school campus law.
Lead organizations: Office of Tobacco Control (SWAT; Enforcement component – Dept. of Business and Professional Regulation)
Partners: Parent-Teacher Associations, FCIAA Program
Activity 4.1.6: Encourage SWAT youth to make presentations about environmental tobacco smoke at local civic group meetings and in faith communities.
Lead organization: Office of Tobacco Control
Partners: Community partnerships, SWAT, faith community leaders and gatekeepers, faith community youth group directors, Little League organizations and other youth groups, Florida Triagency Coalition on Smoking or Health, Moffitt Cancer Center, FCIAA Program
Activity 4.1.7: Incorporate an environmental tobacco smoke education component in peer education programs such as Teens Against Tobacco Use (TATU).
Lead organizations: Office of Tobacco Control; American Lung Association
Partners: Community partnerships, local boards of education, FCIAA Program
Strategy 4.2: Strengthen the FCIAA.
Activity 4.2.1: Advocate for the banning of smoking in restaurants. Advocate for clarification that hotel and motel lobbies and bowling centers are included in the Act.
Lead organization: Florida Triagency Coalition on Smoking or Health
Partners: Florida Medical Association, FCIAA Program, SWAT
Activity 4.2.2: Advocate for the removal of the preemption clause from the FCIAA.
Lead organization: Florida Triagency Coalition on Smoking or Health
Partners: Florida Medical Association, FCIAA Program
Strategy 4.3: Advocate for extending the reach of the existing FCIAA into other public places through rulemaking.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 4.4: Propose new indoor air quality rules for worker protection from environmental tobacco smoke.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 4.5: Evaluate strategy effectiveness and progress toward goals and make revisions as necessary.
Activity 4.5.1: Evaluate success based on two criteria: strengthening of the FCIAA and eliminating the preemption clause from the FCIAA.
Lead organization: Leadership Council, FCIAA Program
Goal 5: Empower groups that experience the greatest adverse impact of tobacco, or those in which the impact is increasing.
Measures of success:
By 2001, at least five group profiles will be completed (see Strategy 5.1 below).
By 2002, needs assessments of at least five profiled groups will be completed.
By 2003, indigenous tobacco prevention and control advocates from at least three profiled groups will be identified and trained.
By 2005, two of the three groups with identified and trained advocates will be participating in targeted tobacco prevention and control activities.
Strategy 5.1: Develop demographic and geographic profiles of diverse populations in Florida that experience the greatest adverse impact of tobacco or in which the impact is increasing.
Activity 5.1.1: Plan and implement a method for defining "adversely impacted populations."
Lead organization: Dept. of Health Office of Minority Health
Partner: Leadership Council, Office of Tobacco Control, community partnerships
Activity 5.1.2: Gather and analyze data about adversely affected populations.
Lead organization: Dept. of Health Office of Minority Health
Partner: Leadership Council, Office of Tobacco Control, community partnerships
Activity 5.1.3: Develop a dissemination list and strategy for the report.
Lead organization: Dept. of Health Office of Minority Health
Partner: Leadership Council, Office of Tobacco Control, community partnerships
Activity 5.1.4: Develop and disseminate a reader-friendly report, identifying adversely-affected populations by county or region.
Lead organization: Dept. of Health Office of Minority Health
Partner: Leadership Council, Office of Tobacco Control, community partnerships
Activity 5.1.5: Develop and implement a system to monitor and report on tobacco industry tactics in minority communities.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Dept. of Health (Office of Minority Health, Office of Tobacco Control), Leadership Council, community partnerships
Strategy 5.2: For each profiled group, assess attitudes toward tobacco, favored media channels, affiliations with local organizations and any special needs, such as low-literacy or materials in languages other than English.
Activity 5.2.1: Develop a methodology and identify funding for a study of adversely-affected populations to ascertain tobacco use, exposure and attitudes, locally-preferred media, special needs and key community contacts.
Lead organization: Dept. of Health (Office of Minority Health)
Partner: Office of Tobacco Control; community partnerships
Activity 5.2.2: Hire and train interns to gather data locally under the supervision of a local agency.
Lead organization: Dept. of Health (Office of Minority Health)
Partner: Office of Tobacco Control; community partnerships
Activity 5.2.3: Compile and analyze data.
Lead organization: Dept. of Health (Office of Minority Health)
Partner: Office of Tobacco Control; community partnerships
Activity 5.2.4: Develop and disseminate a reader-friendly report summarizing study findings and their implications for tobacco prevention and control in adversely-affected populations.
Lead organization: Dept. of Health (Office of Minority Health)
Partner: Office of Tobacco Control; community partnerships
Strategy 5.3: Recruit and train, with emphasis on the adverse group-specific impact of tobacco, indigenous tobacco prevention and control advocates from each profiled group who are willing and able to mobilize a targeted initiative at state and local levels.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 5.4: Provide target-group specific media messages, other resources and technical assistance.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 5.5: Facilitate the involvement of these groups in other state and local tobacco prevention and control activities, including annual strategic planning meetings.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 5.6: Evaluate strategy effectiveness and progress toward goals and make revisions as necessary.
Activity 5.6.1: Collect baseline measures of empowerment from pre-adolescents through the Florida Youth Tobacco Survey and from adolescents through the FAME survey follow-up studies.
Lead organization: Dept. of Health (Bureau of Epidemiology)
Partner: University of Miami
Goal 6: Sustain a coordinated, comprehensive statewide tobacco control initiative.
Measures of success:
By 2000, maintain an infrastructure for coordination of tobacco prevention and control activities in Florida.
By 2000, maintain a visible identity for tobacco prevention and control in Florida.
By 2000 and annually thereafter, secure funding per CDC guidelines to sustain the statewide tobacco control initiative.
By 2001, update the Florida Tobacco Prevention and Control resource guide.
By 2001, enhance communication and information-sharing mechanisms for state and local tobacco prevention and control.
By 2001 and annually thereafter, complete an evaluation and status report for the strategic plan and action plan.
By 2003, plan and implement activities to build tobacco prevention and control capacity.
Strategy 6.1: Identify current state and local tobacco prevention and control initiatives and facilitate dissemination of information about state and local tobacco prevention and control activities, resources and opportunities among participating agencies and organizations.
Activity 6.1.1: Continue to seek information about organizations involved in tobacco prevention and control and about their activities statewide.
Lead organization: Leadership Council
Partner: Partners Network
Activity 6.1.2: Publicize the availability of the Leadership Council’s Resource Document.
Lead organization: Leadership Council
Activity 6.1.3: Make information about current tobacco prevention and control partners and activities and an "Idea Bank" of suggested activities available on the Internet/Department of Health website(s).
Lead organization: Dept. of Health (Office of Tobacco Control; Bureau of Chronic Disease Prevention)
Partners: Leadership Council
Activity 6.1.4: Sponsor an educational forum at least once per year.
Lead organization: Leadership Council
Partner: Experts from within Florida and from other states
Activity 6.1.5: Review and update the strategic plan, develop a one-year action plan annually and expand the resource document.
Lead organization: Leadership Council
Partners: Department of Health, Partners Network
Activity 6.1.6: Consider potential external contractors for media and public relations, website development, the Florida Tobacco Control Clearinghouse (FTCC) and meeting planners.
Lead organization: Office of Tobacco Control
Partner: Florida Triagency Coalition on Smoking or Health
Activity 6.1.7: Convene regular meetings of the Leadership Council.
Lead organization: Dept. of Health (Tobacco Prevention and Control Program)
Activity 6.1.8: Sponsor summer training institutes.
Lead organization: Office of Tobacco Control
Partner: Leadership Council
Strategy 6.2: Build state and local capacity to plan, implement and evaluate effective tobacco prevention and control initiatives.
Activity 6.2.1: Provide technical assistance to community partnerships, the Office of Tobacco Control, and Partners Network members.
Lead organization: Dept. of Health (Bureau of Chronic Disease Prevention; Office of Tobacco Control)
Partner: Leadership Council
Activity 6.2.2: Provide statewide partnership grants to county health departments and/or community-based organizations on topics identified by the Leadership Council and the Florida Tobacco Prevention and Control Program as gaps in services.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Activity 6.2.3: Develop, enhance and utilize the Partners Network.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Strategy 6.3: Track national and international state-of-the-art advances in tobacco prevention and control and facilitate timely access to new information, skills and resources.
Activity 6.3.1: Arrange for the Florida Tobacco Control Clearinghouse (FTCC) to sponsor a display at educational forums.
Lead organization: Leadership Council
Partner: Office of Tobacco Control
Activity 6.3.2: Establish and maintain a link to the FTCC on the Department of Health Website.
Lead organization: Office of Tobacco Control
Partner: Bureau of Chronic Disease Prevention
Activity 6.3.3: Participate in and encourage others to attend national conferences such as the CDC’s summer institutes.
Lead organization: Bureau of Chronic Disease Prevention
Partners: Leadership Council; Office of Tobacco Control
Activity 6.3.4: Encourage partners to share FTCC information with staff and volunteers.
Lead organization: Office of Tobacco Control
Partner: Leadership Council
Strategy 6.4: Maintain an infrastructure for coordinating tobacco prevention and control activities in Florida.
Activity 6.4.1: Estimate needs for and identify sources of future funding.
Lead organization: Leadership Council
Partners: Partners Network; Office of Tobacco Control
Activity 6.4.2: Advocate for annual allocation of tobacco settlement funds at least at the minimum level recommended by the CDC for tobacco prevention and control.
Lead organization: Leadership Council
Partner: Partners Network; Office of Tobacco Control
Activity 6.4.3: Promote participation in the comprehensive action plan by coordinating a teleconference for network members which highlights opportunities for involvement and by other communication links.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Strategy 6.5: Sustain and strengthen the Leadership Council and Partners Network.
Activity 6.5.1: Seek and obtain adequate continued funding for the Leadership Council.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council; Partners Network
Activity 6.5.2: Schedule regular meetings between the Secretary of the Department of Health and the Chair of the Leadership Council.
Lead organization: Leadership Council
Partner: Department of Health
Activity 6.5.3: Publicize the Partners Network.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Activity 6.5.4: Provide regular updates to network members, the Secretary of the Department of Health, and Florida legislators.
Lead organization: Leadership Council
Strategy 6.6: Develop a system to monitor tobacco industry tactics.
No activities are scheduled for this strategy in the current fiscal year.
Strategy 6.7: Reduce the burden of tobacco-related chronic diseases on communities.
Activity 6.7.1: Include tobacco prevention as part of the Bureau of Chronic Disease Prevention’s quality improvement assessment of county health departments.
Lead organization: Bureau of Chronic Disease Prevention
Partners: County Health Departments
Activity 6.7.2: Provide tobacco-related technical assistance to Community Intervention Programs (CIPs) and other county health department programs and community-based programs.
Lead organization: Bureau of Chronic Disease Prevention
Partners: County Health Department Administrators/Directors, County Health Department Chronic Disease Liaisons, and CIP Coordinators
Activity 6.7.3: Provide tobacco-related technical assistance to the cardiovascular health steering committee and other chronic disease prevention initiatives.
Lead organization: Bureau of Chronic Disease Prevention
Activity 6.7.4: Represent Florida on the Southeastern Tobacco Prevention (SToP) Network and other regional and national programs, workgroups, and events.
Lead organization: Bureau of Chronic Disease Prevention
Activity 6.7.5: Encourage county health departments, managed care organizations and other partners to follow federal guidelines for health care practitioners regarding tobacco use prevention and cessation and elimination of exposure to environmental tobacco smoke.
Lead organization: Bureau of Chronic Disease Prevention
Strategy 6.8: Develop a common, recognizable identity for statewide tobacco prevention and control initiatives.
Activity 6.8.1: Request assistance from a Dept. of Health graphic artist in developing a logo.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council; Partners Network
Activity 6.8.2: Sponsor a contest to develop a theme that complements the logo.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council; Partners Network
Strategy 6.9: Organize, monitor and evaluate implementation of the strategic plan and annual action plan and report on progress.
Activity 6.9.1: Follow up with lead organizations to monitor progress.
Lead organization: Leadership Council
Partner: Partners Network
Activity 6.9.2: Contract with an appropriate entity to evaluate plan implementation.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Activity 6.9.3: Include progress reports on the agenda of every meeting of the Leadership Council and educational forums.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council
Activity 6.9.4: Host a workshop to review and update the strategic plan and to develop an action plan for 2000-2001.
Lead organization: Bureau of Chronic Disease Prevention
Partner: Leadership Council, Partners Network
Activity 6.9.5: Investigate options for collecting data related to measures of success.
Lead organization: Dept. of Health (Bureau of Epidemiology)
Proposed Partners: Leadership Council, Partners Network
Activity 6.9.6: Fund and conduct process and outcome evaluations.
Lead organization: Dept. of Health (Bureau of Epidemiology; Bureau of Chronic Disease Prevention)
Appendix A: Leadership Council for Tobacco Control
Members
Voting Member Organizations and their Current Representatives
Dr. Robert E. Windom, Chair
Florida Leadership Council for Tobacco Control
Sarasota
Mr. Don Webster
American Cancer Society, Florida Division
Tampa
Sheriff Jeff Dawsy
Citrus County Sheriff
Florida Sheriff's Association
Inverness
Dr. Glenn Hooper
Florida Medical Association
Tampa
Mr. Tim Giuliani
Chair, SWAT
Students Working Against Tobacco
St. Johns County
Ms. Darlene French-White
Chair, Tobacco-Free Partnership of Dade County
Miami
Ms. Brenda Olsen
American Lung Association of Florida
Tallahassee
Mr. Jack Chancellor
Florida Foundation for School Health
Sarasota
Ms. Marian Irvin
Chair, Tobacco-Free Community Partnership of Flagler County
Bunnell
Mr. Brian Gilpin
American Heart Association, Florida/Puerto Rico Affiliate
St. Petersburg
Ex-Officio Members
Mr. Victor Medrano
CDC Office on Smoking and Health
Atlanta
Ms. Mary Jo Butler
Dept. of Education
Tallahassee
Ms. Jennie Hefelfinger, Chief
Bureau of Chronic Disease Prevention
Dept. of Health
Tallahassee
Lt. Tania Pendarakis
Div. of Alcoholic Beverages and Tobacco
Dept. of Business and Professional Regulation
Tallahassee
Staff
Ms. Sharon Dorfman, MS, CHES
President, SPECTRA
Ponce Inlet
Mrs. M.R. Street
Bureau of Chronic Disease Prevention
Dept. of Health
Tallahassee
Ms. Debra Bodenstine, Director
Office of Tobacco Control
Dept. of Health
Tallahassee
Appendix B: Correlation Between Florida’s Goals and Strategies; the Centers for Disease Control and Prevention’s
(CDC) Tobacco Prevention and Control Goals and Program Components; and CDC Best Practices Guidelines
CDC Goal 1: Eliminate Exposure to Environmental Tobacco Smoke
Florida Goal 4: Reduce exposure to environmental tobacco smoke.
CDC Goal 2: Promote Quitting among Adults and Young People
Florida Goal 2: Reduce youth tobacco use.
Florida Goal 3: Reduce adult tobacco use.
CDC Goal 3: Prevent Initiation among Young People
Florida Goal 1: Prevent youth tobacco initiation.
CDC Goal 4: Identify and Eliminate Disparities among Populations
Florida Goal 5: Empower groups that experience the greatest adverse impact of tobacco, or those in which the impact is increasing.
CDC Program Component 1: Community Interventions
CDC Best Practice I: Community Programs to Reduce Tobacco Use
CDC Best Practice II: Chronic Disease Programs to Reduce the Burden of Tobacco-Related Disease
CDC Best Practice III: School Programs
CDC Best Practice VII: Cessation Programs
Florida Strategies 1.2, 1.3, 1.4, 1.5, 1.6, 1.8, 1.9, 2.1, 2.2, 2.4, 2.6, 3.1, 3.2, 3.3, 3.4, 4.1, 4.3, 4.4, 5.3, 5.5, 6.1, 6.2, 6.4, 6.5, 6.6, 6.7
CDC Program Component 2: Counter-Marketing
CDC Best Practice VI: Counter-Marketing
Florida Strategies 1.7, 2.3, 5.4
CDC Program Component 3: Program Policy
CDC Best Practice IV: Enforcement
CDC Best Practice V: Statewide Programs
CDC Best Practice IX: Administration and Management
Florida Goal 6: Sustain a coordinated, comprehensive statewide tobacco control initiative.
Florida Strategy 4.3
CDC Program Component 4: Surveillance and Evaluation
CDC Best Practice VIII: Surveillance and Evaluation
Florida Strategies 1.1, 1.10, 2.7, 3.5, 4.5, 5.1, 5.2, 5.6, 6.1, 6.3, 6.9
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