Summary

Hubert Humphrey Building
200 Independence Avenue, SW
Washington, DC

The Great Hall
1:00 p.m. to 4:00 p.m.

Meeting to Receive and Discuss the National Action Plan for Tobacco Cessation

Welcome, Overview and Charge to the Group

Richard H. Carmona, M.D., M.P.H., F.A.C.S., Surgeon General

Dr. Carmona welcomed the Committee, reviewed the purpose of the day’s meeting and offered his appreciation to the Cessation Subcommittee for its hard work.

Before Committee introductions, Dr. Carmona recognized two new public members; Dr. Dorothy Hatsukami from the University of Minnesota Medical School, and Dr. Yvette Lopez Warren, Executive Director of the National Fatherhood Initiative.

Member Introductions

• Michael Schooley, M.P.H., Office on Smoking and Health, Centers for Disease Control and Prevention
• Frances Stewart, Department of Defense
• Barry Portnoy, Ph.D., National Institutes of Health
• Nicholas Trane, M.D., Blank Children’s and Methodist Hospital
• Lynn Haverkos, M.D., National Institute of Child Health and Human Development
• Yvette Warren Lopez, National Fatherhood Initiative
• Dennis Richling, M.D., Midwest Business Group on Health
• Alison Freeman, M.A., Environmental Protection Agency
• James Coan, Centers for Medicare and Medicaid Services
• Harriett Bennett, Agency for Healthcare Research and Quality
• Glenn Hanson, National Institute for Drug Abuse
• Lyman Van Nostrand, Health Resources and Services Administration
• Mary Wachacha, Indian Health Service
• Peter Kaufman, National Heart, Lung and Blood Institute
• Dorothy Hatsukami, University of Minnesota Medical School
• Scott Leischow, Ph.D., National Cancer Institute
• Aron Primack, M.D., M.A., Fogerty International Center, NIH
• Michael Fiore, M.D., M.P.H., University of Wisconsin Medical School

Rosemarie Henson, M.S.S.W., M.P.H., Office on Smoking and Health, Centers for Disease Control and Prevention

Presentation of the National Action Plan for Tobacco Cessation to the ICSH

Michael C. Fiore, M.D., M.P.H., Chair, ICSH Cessation Subcommittee

Dr. Fiore began with an overview of the process leading to the development of the National Action Plan for Tobacco Cessation. He talked about the Subcommittee’s charge, goals, and timeline, and acknowledged each Subcommittee member by name. Dr. Fiore then talked about the rationale for the report and some of its targeted features.

Each of the 10 recommendations was presented and Dr. Fiore provided a short description and rationale for each one, including a review of the evidence supporting the recommendation.

Comments from former Surgeon General C. Everett Koop

Following the review of recommendations, Dr. Carmona welcomed and introduced Dr. C. Everett Koop who made some brief comments about the report. He offered his “complete approval” of the recommendations and added his one suggestion to have greater emphasis on the important role that dentists and dental hygienists can play in cessation efforts. He thanked the Subcommittee for its work.

Public Comment

Ten individuals offered public comments (see attached list). Each of the ten individuals urged the ICSH to approve the Action Plan and forward it to Secretary Thompson. Several people emphasized the importance of the recommendation to include evidence-based counseling and medications in benefits packages for all Federal beneficiaries as a way to “lead by example.” Others talked about the strong evidence base supporting price increases as a way to increase cessation, reduce consumption and prevent youth from starting to use tobacco products. The recommendation to fund a national quitline which would provide counseling and medications was also strongly endorsed and the importance of a media campaign to accompany this effort was emphasized. Finally, several individuals talked about the need for ongoing research as well as clinician training in the tools and methods for cessation intervention.

ICSH Committee Discussion

Committee members discussed the Action Plan and comments are summarized below:

• Include reference to support of international research efforts
• Clinicians should be trained in cessation and prevention interventions
• Importance of evaluating and monitoring trends
• Recognition of the special needs of those who are uninsured
• Importance of recognizing that “one size does not fit all” — particularly for Native American populations with high rates of tobacco use (ceremonial and otherwise) which may not have access to many of the recommendations included in the Action Plan i.e. quitline, media campaign, etc)
• Importance of a broad-based research agenda
• Suggestion that Surgeon General Carmona take a visible role in getting the cessation message to the public
• The Action Plan emphasizes the importance of public-private partnerships in cessation efforts
• Efforts to train clinicians in brief cessation interventions are important, given increasingly shorter visits between physician and patient
• Although there is still a great need for additional cessation intervention research, it is also important that the information we do know is more effectively put into practice

Vote

The Committee unanimously agreed to take the National Action Plan for Tobacco Cessation forward to Secretary Thompson (The Committee's vote does not imply agency endorsement or approval of the recommendations).

The meeting adjourned at 3:00 p.m.

Individuals Providing Public Comment

• Reverend Cynthia Abrams, General Board of Church and Society of the United Methodist Church
• Linda Bailey, Center for Tobacco Cessation
• Matt Barry, on behalf of Partners for Effective Tobacco Policy (a coalition of 60+ members)
• Maris Bondi, on behalf of John Clymer, President, Partnership for Prevention
• Ron Davis, on behalf of the American Medical Association
• Tom Glynn, American Cancer Society
• Benjamin Good, on behalf of Dr. Bruce Fye, President of the American College of Cardiology
• Laura Hamasaka, American Legacy Foundation
• Jack Henningfield, Professor of Behavioral Biology, Johns Hopkins University School of Medicine
• John Pinney, Pinney Associates

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This page last reviewed May 02, 2003

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