Open AccessLocal Tobacco Control: Application of the Essential Public Health Services Model in a County Health Department’s Efforts to Put It Out Rockland
Author(s) -
Lisa Lieberman,
Una Diffley,
Sandy King,
Shelley Chanler,
Maryanne Ferrara,
Oscar Alleyne,
Joan Facelle
Publication year - 2013
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2013.301284
Subject(s) - per capita , health department , tobacco control , context (archaeology) , public health , settlement (finance) , environmental health , business , investment (military) , control (management) , medicine , political science , geography , finance , economics , law , population , politics , archaeology , nursing , management , payment
In 2000, Rockland County, a small suburban county north of New York City, dedicated $1 million of its Master Settlement Agreement funds to a comprehensive tobacco control program, Put It Out Rockland. Developed and implemented by the county health department, this program used an essential public health services model and an ongoing financial investment, within the context of strong statewide tobacco control efforts, to lower adult smoking rates to 9.7% and to reduce both smoking among youths and exposure to secondhand smoke over the ensuing decade. By combining state funds and local dollars for a total of $6.75 cost per capita, this comprehensive effort yielded 11 000 fewer smokers and translated to a potential savings of more than $24 million for the county.